Austin Lower Face Lift doctors

You were smart to have someone place a chin implant, as your mandible structure (width, height, and profile) were probably on the weak side, in terms of relative facial proportions.  There is a facial aesthetic proportion rule of the vertical "thirds": the forhead, height of the nose, and the nasal base to chin distance should ideally be equal proportions.  Also, the horizontal rule of "fifths" explains the ideal proprotion of having the width of the mandible match the lateral canthi.  When we apply these rules to your face, your mandible is still on the weak side, especially in facial height and mandibular width.

It is possible that a larger chin implant and also lateral mandibular rami implants would help these proportional issues for you.  I believe that these type of changes will provide you with the more sculpted facial proportion that you are seeking.  Full blown orthognathic surgery may be overkill here, but certainly a consultation with someone that can evalute the cosmetics of your mandible would be a propos.  Perhaps a friendly ENT-facial plastic surgeon or a cosmetic oral maxillofacial surgeron your area might be able to give you more specific suggestions.

Best of luck to you!

At 40 years old and a touch of jowls, I would agree with the surgeons who have suggested camouflage techniques such as Radiesse.  This often works well, is safe, and does not hinder your ability to do other procedures in the future.  It does not surprise me that you are dissatisfied with Thermage, I don't believe I have ever met a patient who was.  I would encourage you to avoid all of the various machines that claim to provide a facelift without surgery, patients rarely see the promised changes, or even any change at all for that matter.  At your age I encourage you to be conservative.

You are quite young and your face will change considerably on its own in just the next few years.  You should expect natural loss of the fat in your cheeks as you age.  Twenty or Thirty years from now I think you will be unhappy if you have fat removed today.  Once fat is surgically removed from your face, it is difficult to get it back and it is very likely that at some point you will want it back.  While you are young, a temporary loss of facial fat can be achieved by endurance activities such as long-distance running.  I would suggest consulting with a personal trainer before considering any surgery.